1697 certified medical coding specialist jobs found

As a Certified Medical Coding Specialist, the full-time remote position will interpret behavioral health documentation and coding results, provide actionable feedback to providers, and serve as a subject matter expert on coding and billing inquiries in a supportive environment. Key responsibilities Interpret behavioral health documentation and coding review results, translating them into clear provider education and feedback Determine the accuracy of flagged findings, confirming genuine errors and identifying incorrect flags for correction Answer provider and internal team questions on behavioral health coding and documentation, delivering clear and empathetic responses Required qualifications Certified Professional Coder (CPC) certification is required, along with 1-2 years of experience in outpatient or professional-services coding Strong grasp of ICD-10-CM, CPT, and HCPCS coding guidelines and documentation requirements Ability to independently reach correct coding...

Reviewing and analyzing Emergency Department medical records, the full-time Certified Medical Coding Specialist, NH will accurately assign ICD-10-CM, CPT, and HCPCS codes for professional and facility services in a remote setting. Key responsibilities Review and analyze clinical documentation to assign accurate coding for Emergency Department services Collaborate with providers and clinical teams to resolve coding and documentation issues Monitor trends in documentation quality and coding accuracy, communicating findings to leadership Required qualifications High School diploma or equivalent Certified Coding Specialist (CCS) or Certified Outpatient Coder (COC) Minimum of two years of Emergency Department coding experience in an acute care hospital setting Strong working knowledge of ICD-10-CM, CPT, and HCPCS coding systems Proficiency with Epic and encoder/coding software

Certified Medical Coding Specialist We are seeking a Certified Medical Coding Specialist to join a growing remote coding team on a contract-to-hire basis. This role requires experience coding multiple outpatient settings, including Observation, ASC, Emergency Department, ancillary services, and injections/infusions. Candidates must also be comfortable coding physician-side E/M services while maintaining high productivity and quality standards. Key Responsibilities: Code outpatient and observation encounters. Assign CPT, ICD-10-CM, HCPCS, and physician E/M codes. Code services for: Outpatient (OP) Observation (OBS) Ambulatory Surgery Center (ASC) Emergency Department (ED) Injections and Infusions Ancillary services Abstract diagnosis and procedural information from medical records. Review claims to ensure coding accuracy, compliance, and required authorizations. Maintain productivity and accuracy standards while adhering to coding guidelines....

Certified Medical Coding Specialist 560 White Plains Rd - Tarrytown, NY 10591 Overview Salary Range $35.00 - $35.00 Hourly Position Type Part Time Category Finance Description JOB SUMMARY The Certified Medical Coding Specialist is responsible for reviewing denied medical claims, correcting coding and billing errors, and preparing claims for timely resubmission. This is a temporary, part-time position (20 hours per week for approximately four months) supporting revenue cycle operations. The position offers a hybrid work schedule with flexible hours and the potential to transition to a fully remote arrangement based on performance. DUTIES AND RESPONSIBILITIES Review payer denials and determine the reason for denial. Research medical records, coding, payer policies, and billing guidelines. Correct CPT, HCPCS, ICD-10-CM, modifiers, and other claim elements as appropriate. Prepare corrected claims and supporting documentation for resubmission. Work with billing...

Certified Medical Coding Specialist Sublette County Health Discover Your Next Adventure in Pinedale, Wyoming! Nestled in the heart of the breathtaking Wind River Range, Sublette County offers the rugged beauty of the West alongside a once-in-a-lifetime career opportunity. Sublette County Health proudly operates two urgent care clinics with Level 5 Trauma receiving Emergency Rooms, as well as two EMS stations. On August 4, 2025, we opened Sublette County’s first hospital – a historic milestone for our community. As part of our growth, Heritage Home – our Skilled Nursing facility – is expanding to its new home with a 40‑bed Skilled Nursing Unit and a brand‑new 10‑bed Memory Care Unit, designed to provide compassionate, resident‑centered care. Overview The Certified Medical Coding Specialist translates clinical and/or ambulance work into code and enters billing codes into the practice management system for reimbursement. The role also performs chart compliance audits and provides...

Preferred candidate locations in New Hampshire and Massachusetts ED coding experience required Who We Are Southern New Hampshire Health has been a cornerstone of the region since 1893, delivering high-quality, compassionate care close to home. Anchored by Southern New Hampshire Medical Center—a 188-bed, DNV-accredited hospital in downtown Nashua with a Level III-N trauma center, Level II Special Care Nursery, and Magnet® designation for nursing excellence—we offer a full spectrum of services from primary care to advanced diagnostics and specialized treatments. Our medical staff includes over 500 providers from Foundation Medical Partners and local practices. Foundation Medical Partners, our multi-specialty group, spans 70+ practices across southern New Hampshire and northern Massachusetts, providing coordinated, patient-centered care to thousands each year. About the Job The Coding Specialist – Hospital Based, Emergency Department is responsible for reviewing and analyzing...

To support the revenue cycle management team, the full-time remote Certified Coding Denials Specialist will manage claim edits and rejection work queues, investigate health plan denials, and ensure accurate coding and timely resolution of issues. Key responsibilities Process accounts related to coding denial management, including rejections and bundling issues Generate appeals based on dispute reasons and payer guidelines, ensuring compliance with submission protocols Maintain adherence to departmental production and quality standards while completing special projects as assigned Required qualifications High school diploma or equivalent One to three years of experience in physician medical billing with a focus on claim denials Current AAPC or AHIMA certification is required Thorough knowledge of healthcare reimbursement guidelines and physician billing policies Proficient in computer skills, including knowledge of Excel and other relevant software

Job Type Full-time Description MAKE A DIFFERENCE AT OCHIN OCHIN is a nonprofit leader in health care innovation and a trusted partner to a growing national provider network, delivering the clinical insights and tailored technologies needed to expand patient access, strengthen care teams, and improve the health of rural and medically underserved communities. We are hiring for a number of new positions to meet increasing demand. When you choose to join OCHIN, you have the opportunity to continuously grow your skills and do meaningful work to help fulfill our vision of good health and well-being for everyone. At OCHIN, we value the unique perspectives and experiences of every individual and work hard to maintain a culture rooted in our values. Founded in Oregon in 2000, OCHIN employs a growing virtual workforce of more than 1,200 skilled professionals, working remotely across 49 states. We offer a generous compensation package and are committed to supporting our...

Trinity Health IHA Medical Group seeks a certified coding specialist to ensure accurate medical coding across specialties including Pediatrics, Hematology Oncology, Behavioral Health and Neurology. You will review EPIC warnings, verify CPT and diagnosis codes, and communicate with providers about documentation issues impacting revenue and compliance. A HS diploma and 2+ years in healthcare are required. #J-18808-Ljbffr

Trinity Health IHA Medical Group in Ann Arbor, MI, is seeking a Certified Coding Specialist to ensure accurate medical coding across pediatrics, hematology-oncology, behavioral health and neurology. The role reviews EPIC warnings, verifies provider-chosen codes for procedures, and communicates with providers to address documentation issues impacting revenue and compliance. This full-time, day-shift position offers a mission-driven culture and opportunities for professional growth. #J-18808-Ljbffr

Preferred candidate locations in New Hampshire and Massachusetts ED coding experience required Preferred candidate locations in New Hampshire and Massachusetts ED coding experience required Who We Are Southern New Hampshire Health has been a cornerstone of the region since 1893, delivering high-quality, compassionate care close to home. Anchored by Southern New Hampshire Medical Center - a 188-bed, DNV-accredited hospital in downtown Nashua with a Level III-N trauma center, Level II Special Care Nursery, and Magnet designation for nursing excellence we offer a full spectrum of services from primary care to advanced diagnostics and specialized treatments. Our medical staff includes over 500 providers from Foundation Medical Partners and local practices. Foundation Medical Partners, our multi-specialty group, spans 70+ practices across southern New Hampshire and northern Massachusetts, providing coordinated, patient-centered care to thousands each year. About The Job The Coding...

Job Type Full-time Description MAKE A DIFFERENCE AT OCHIN OCHIN is a nonprofit leader in health care innovation and a trusted partner to a growing national provider network, delivering the clinical insights and tailored technologies needed to expand patient access, strengthen care teams, and improve the health of rural and medically underserved communities. We are hiring for a number of new positions to meet increasing demand. When you choose to join OCHIN, you have the opportunity to continuously grow your skills and do meaningful work to help fulfill our vision of good health and well-being for everyone. At OCHIN, we value the unique perspectives and experiences of every individual and work hard to maintain a culture rooted in our values. Founded in Oregon in 2000, OCHIN employs a growing virtual workforce of more than 1,200 skilled professionals, working remotely across 49 states. We offer a generous compensation package and are committed to supporting our...

Preferred candidate locations in New Hampshire and/or Massachusetts ED coding experience required About the Company Southern New Hampshire Health has been a cornerstone of the region since 1893, delivering high-quality, compassionate care close to home. Anchored by Southern New Hampshire Medical Center—a 188-bed, DNV-accredited hospital in downtown Nashua with a Level III-N trauma center, Level II Special Care Nursery, and Magnet® designation for nursing excellence, we offer a full spectrum of services from primary care to advanced diagnostics and specialized treatments. Our medical staff includes over 500 providers from Foundation Medical Partners and local practices. Foundation Medical Partners, our multi-specialty group, spans 70+ practices across southern New Hampshire and northern Massachusetts, providing coordinated, patient-centered care to thousands each year. About the Role The Coding Specialist – Hospital Based, Emergency Department is responsible for reviewing and...

Certified Medical Coding Specialist The Certified Medical Coding Specialist is responsible for correctly coding healthcare claims to obtain reimbursement from insurance companies and government health care programs. This position is an in-person position in the Monfort Family Clinic in Evans, Colorado. Position Summary: With a Quality, Customer First, and Compassionate approach, The Medical Coding Specialist will: Analyze patient charts carefully to know the diagnosis and represent every item with specific codes. Assign codes for diagnosis, treatments, and procedures according to the appropriate classification system. Review claims data to ensure assigned codes meet required legal and insurance rules and that required authorizations are in place prior to submission. Evaluate and re-file appeals for patient claims that were denied. Ensure correct patient allocation is set. Void any duplicate charges or charges entered in error. Identify and report error patterns. Notify...

Become a part of our caring community The Senior Medical Coding Professional, Inpatient supports payment integrity initiatives by reviewing inpatient claims for coding accuracy, DRG assignment, and compliance with official guidelines. You will report to the Manager, Payment Integrity. Key Responsibilities Review inpatient records for coding accuracy and DRG validation Identify anomalies for audit targeting Apply ICD-10-CM/PCS coding guidelines and DRG logic Assess how coding impacts reimbursement and severity adjustment Conduct retrospective audits and document findings Recommend adjustments, recoveries, or provider education Collaborate with clinical reviewers and data analysts Use your skills to make an impact Required Qualifications Required: RHIA, RHIT, CCS, or CIC 5+ years inpatient coding experience Audit or validation experience Strong DRG knowledge (MS-DRG/APR-DRG) Understanding of CDI and severity of illness (SOI/ROM) concepts Preferred Qualifications 3M...

Direct Jobs in Nashville, TN, seeks a skilled medical coder proficient in coding classification systems. The role involves reviewing and assigning diagnostic codes, ensuring compliance, and supporting staff training. The ideal candidate will have at least 4 years of relevant work experience and a High School Diploma or GED. Candidates with licensure in a specific discipline are preferred. This role is crucial for maintaining high standards in patient care and documentation compliance. #J-18808-Ljbffr

Become a part of our caring community The Senior Medical Coding Professional, Inpatient supports payment integrity initiatives by reviewing inpatient claims for coding accuracy, DRG assignment, and compliance with official guidelines. You will report to the Manager, Payment Integrity. Key Responsibilities Review inpatient records for coding accuracy and DRG validation Identify anomalies for audit targeting Apply ICD-10-CM/PCS coding guidelines and DRG logic Assess how coding impacts reimbursement and severity adjustment Conduct retrospective audits and document findings Recommend adjustments, recoveries, or provider education Collaborate with clinical reviewers and data analysts Use your skills to make an impact Required Qualifications Required: RHIA, RHIT, CCS, or CIC 5+ years inpatient coding experience Audit or validation experience Strong DRG knowledge (MS-DRG/APR-DRG) Understanding of CDI and severity of illness (SOI/ROM) concepts Preferred Qualifications 3M...

Become a part of our caring community The Senior Medical Coding Professional, Inpatient supports payment integrity initiatives by reviewing inpatient claims for coding accuracy, DRG assignment, and compliance with official guidelines. You will report to the Manager, Payment Integrity. Key Responsibilities Review inpatient records for coding accuracy and DRG validation Identify anomalies for audit targeting Apply ICD-10-CM/PCS coding guidelines and DRG logic Assess how coding impacts reimbursement and severity adjustment Conduct retrospective audits and document findings Recommend adjustments, recoveries, or provider education Collaborate with clinical reviewers and data analysts Use your skills to make an impact Required Qualifications Required: RHIA, RHIT, CCS, or CIC 5+ years inpatient coding experience Audit or validation experience Strong DRG knowledge (MS-DRG/APR-DRG) Understanding of CDI and severity of illness (SOI/ROM) concepts Preferred Qualifications 3M...

A healthcare organization in Florida is seeking a full-time in-house Coding Specialist to enhance its MRA Department. The role involves reviewing medical records, consulting with physicians, and ensuring accurate diagnosis coding in compliance with CMS and ICD-10 guidelines. Ideal candidates should hold CPC, CRC, or CCS certifications, have a minimum of 1-year experience in medical coding, and possess strong knowledge of CMS Risk Adjustment methodology. Excellent communication and computer skills are essential for success in this role. #J-18808-Ljbffr

Medical College of Wisconsin seeks an experienced coding/billing professional to perform CPT and ICD-10 CM coding with accuracy and timeliness. You will liaise with physicians, department admins, and billing staff to coordinate professional service billings across clinical departments. You will monitor charge flow, resolve edits, participate in provider education, and help reduce denials by ensuring compliant documentation and coding practices. #J-18808-Ljbffr

Become a part of our caring community The Senior Medical Coding Professional, Inpatient supports payment integrity initiatives by reviewing inpatient claims for coding accuracy, DRG assignment, and compliance with official guidelines. You will report to the Manager, Payment Integrity. Key Responsibilities Review inpatient records for coding accuracy and DRG validation Identify anomalies for audit targeting Apply ICD-10-CM/PCS coding guidelines and DRG logic Assess how coding impacts reimbursement and severity adjustment Conduct retrospective audits and document findings Recommend adjustments, recoveries, or provider education Collaborate with clinical reviewers and data analysts Use your skills to make an impact Required Qualifications Required: RHIA, RHIT, CCS, or CIC 5+ years inpatient coding experience Audit or validation experience Strong DRG knowledge (MS-DRG/APR-DRG) Understanding of CDI and severity of illness (SOI/ROM) concepts Preferred Qualifications 3M...

Become a part of our caring community The Senior Medical Coding Professional, Inpatient supports payment integrity initiatives by reviewing inpatient claims for coding accuracy, DRG assignment, and compliance with official guidelines. You will report to the Manager, Payment Integrity. Key Responsibilities Review inpatient records for coding accuracy and DRG validation Identify anomalies for audit targeting Apply ICD-10-CM/PCS coding guidelines and DRG logic Assess how coding impacts reimbursement and severity adjustment Conduct retrospective audits and document findings Recommend adjustments, recoveries, or provider education Collaborate with clinical reviewers and data analysts Use your skills to make an impact Required Qualifications Required: RHIA, RHIT, CCS, or CIC 5+ years inpatient coding experience Audit or validation experience Strong DRG knowledge (MS-DRG/APR-DRG) Understanding of CDI and severity of illness (SOI/ROM) concepts Preferred Qualifications 3M...

The Ohio State University Physicians, Inc. is seeking a coding/billing professional in Columbus, OH to ensure accurate CPT, HCPCS, and ICD-10-CM coding for physician services. The role supports billing processes, payer compliance, and ongoing staff education. Responsibilities include audits of denials, documentation improvement, and interactions with providers to resolve coding questions, ensuring regulatory adherence and efficient reimbursement. #J-18808-Ljbffr

ExamWorks, Inc. is seeking a Medical Coding Specialist to join our team remotely. The role requires current CPC certification, with CPMA or Certified Life Care Planner preferred. You will review medical records, assign codes, ensure compliance with guidelines, and support client billing while maintaining HIPAA standards. Monday–Friday 8am–5pm EST. Experience in medical billing and familiarity with CPT, ICD-10, and payer policies is essential. Travel may be required for audits. #J-18808-Ljbffr